Primary Leiomyosarcoma of the Inferior Vena Cava Invading the Right Atrium: A Technique for Intraluminal Biopsy Through a Transvenous Approach

Leiomyosarcoma of inferior vena cava (IVC) is a very rare tumor constituting less than 1% of all malignant tumors. However, it is the most common malignant primary IVC tumor. We report a case of primary leiomyosarcoma involving the entire IVC and extending into the right atrium. We also describe a s...

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Veröffentlicht in:Vascular and endovascular surgery 2011-11, Vol.45 (8), p.743-746
Hauptverfasser: Abdel-Aal, Ahmed Kamel, Gaddikeri, Santhosh, Saddekni, Souheil, Oser, Rachel F., Underwood, Edgar, Wei, Shi
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container_end_page 746
container_issue 8
container_start_page 743
container_title Vascular and endovascular surgery
container_volume 45
creator Abdel-Aal, Ahmed Kamel
Gaddikeri, Santhosh
Saddekni, Souheil
Oser, Rachel F.
Underwood, Edgar
Wei, Shi
description Leiomyosarcoma of inferior vena cava (IVC) is a very rare tumor constituting less than 1% of all malignant tumors. However, it is the most common malignant primary IVC tumor. We report a case of primary leiomyosarcoma involving the entire IVC and extending into the right atrium. We also describe a simple endovascular technique that can be used to biopsy IVC masses through a transvenous approach. Our technique can be used as an alternative to percutaneous biopsy which carries a risk of bleeding when transgressing the IVC wall with a biopsy needle. To our knowledge, the use of this technique to biopsy IVC masses has not been described in literature.
doi_str_mv 10.1177/1538574411418009
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Diet therapy and various other treatments (general aspects) ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tomography, X-Ray Computed ; Vascular Neoplasms - chemistry ; Vascular Neoplasms - diagnostic imaging ; Vascular Neoplasms - pathology ; Vascular surgery: aorta, extremities, vena cava. 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subjects Angiography, Digital Subtraction
Biological and medical sciences
Biomarkers, Tumor - analysis
Biopsy - methods
Diseases of the cardiovascular system
Endovascular Procedures
Female
Femoral Vein - diagnostic imaging
Heart Atria - pathology
Humans
Immunohistochemistry
Leiomyosarcoma - chemistry
Leiomyosarcoma - diagnostic imaging
Leiomyosarcoma - pathology
Medical sciences
Middle Aged
Neoplasm Invasiveness
Phlebography - methods
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
Vascular Neoplasms - chemistry
Vascular Neoplasms - diagnostic imaging
Vascular Neoplasms - pathology
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vena Cava, Inferior - diagnostic imaging
Vena Cava, Inferior - pathology
title Primary Leiomyosarcoma of the Inferior Vena Cava Invading the Right Atrium: A Technique for Intraluminal Biopsy Through a Transvenous Approach
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